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[3] [4] Septic arthritis is an orthopedic emergency, which, if treatment is delayed, can lead to irreversible joint damage. Septic arthritis occurs more often in childhood than at any other time. [4] [5] Kocher criteria are a useful guide to the diagnosis of septic arthritis in children, especially in the hip, one of the most frequently ...
This is a shortened version of the thirteenth chapter of the ICD-9: Diseases of the Musculoskeletal System and Connective Tissue.It covers ICD codes 710 to 739.The full chapter can be found on pages 395 to 415 of Volume 1, which contains all (sub)categories of the ICD-9.
In children septic arthritis usually affects the larger joints like the hips, knees and shoulders. The early signs and symptoms of septic arthritis in children and adolescents can be confused with limb injury. [5] Among the signs and symptoms of septic arthritis are: acutely swollen, red, painful joint with fever. [9]
Treatment can vary depending on the cause and severity of the condition. Physical therapy, acupuncture, and anti-inflammatory drugs are commonly used to treat the disease. In more severe cases, intra-articular corticosteroid injections or surgical joint replacement may be necessary. Joint drainage and antibiotics are used to treat septic arthritis.
[1] [2] Specifically, arthralgia is a symptom of injury, infection, illness (in particular arthritis), or an allergic reaction to medication. [ 3 ] According to MeSH , the term arthralgia should only be used when the condition is non-inflammatory, and the term arthritis should be used when the condition is inflammatory .
[17] [18] If septic arthritis needs to be ruled out, needle aspiration of the fluid can be performed under ultrasound guidance. [19] In transient synovitis, the joint fluid will be clear. [5] In septic arthritis, there will be pus in the joint, which can be sent for bacterial culture and antibiotic sensitivity testing.
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The most important differential diagnosis in gout is septic arthritis. [ 5 ] [ 10 ] This should be considered in those with signs of infection or those who do not improve with treatment. [ 10 ] To help with diagnosis, a synovial fluid Gram stain and culture may be performed. [ 10 ]